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ECK
TEST BANK FOR PSYCHIATRIC ME
!* !* !* !*
NTAL HEALTH NURSING 7TH EDITI
!* !* !* !*
ON BY VIDEBECK
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PsychiatricMentalHealthNursing7thEditionTestBank
*! *! *! *! *! *!
Chapter!*1
1. The!*nurse!*is!*assessing!*the!*factors!*contributing!*to!*the!*well-
being!*of!*a!*newly!*admitted!*client.!*Which!*of!*the!*following!*would!*the!*nurse!*identif
y!*as!*having!*a!*positive!*impact!*on!*the!*individual's!*mental!*health?
A) Not!*needingothers!*for!*companionship
B) The!*ability!*to!*effectivelymanage!*stress
C) Afamily!*history!*of!*mental!*illness
D) Striving!*fortotal!*self-
reliance!*Ans:!*B
Feedback:
Individual!*factors!*influencing!*mental!*health!*include!*biologic!*makeup,!*autonomy,!*in
dependence,!*self-
esteem,!*capacity!*for!*growth,!*vitality,!*ability!*to!*find!*meaning!*in!*life,!*emotionalresilience!*
or!*hardiness,!*sense!*of!*belonging,!*reality!*orientation,!*and!*coping!*or!*stress!*management!*
abilities.!*Interpersonal!*factors!*such!*as!*intimacy!*and!*a!*balance!*of!*separateness!*and!*co
nnectedness!*arebothneeded!*forgoodmental!*health,!*and!*therefore!*a!*healthy!*person!*woul
d!*need!*others!*for!*companionship.!*A!*family!*history!*of!*mental!*illness!*couldrelate!*to!*the!
*biologic!*makeup!*of!*an*!individual,!*whichmay!*have!*a!*negative!*impact!*on!*an!*individual's!*
mental!*health,!*as!*well!*as!*a!*negative!*impact!*on!*an!*individual's!*interpersonal!*and!*socialñc
ultural!*factors!*of!*health.!*Total!*self-
reliance!*is!*not!*possible,!*and!*a!*positive!*social/cultural!*factor!*is!*access!*to!*adequate!*res
ources.
2. Which!*of!*the!*following!*statements!*about!*mentalillness!*are!*true?!*Select!*all!*that!*apply.
A) Mental!*illness!*cancausesignificant!*distress,!*impaired!*functioning,!*or!*both.
B) Mentalillness!*is!*only!*due!*to!*social/cultural!*factors.
C) Social/cultural!*factors!*that!*relate!*to!*mental!*illness!*include!*excessive!*dependenc
y!*on!*or!*withdrawal!*from!*relationships.
D) Individualssuffering!*from!*mental!*illness!*are!*usually!*able!*to!*cope!*effectively!*with!
*daily!*life.
E) Individualssuffering!*from!*mental!*illness! * may!*experiencedissatisfaction!*with
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relationships!*and!*self.
Ans:!*A,!*D,!*E
Feedback:
Mental!*illness!*can!*cause!*significant!*distress,!*impaired!*functioning,!*or!*both.!*Mental!*
illness!*may!*be!*related!*to!*individual,!*interpersonal,!*or!*social/cultural!*factors.!*Excessive!*
dependency!*on!*or!*withdrawal!*from!*relationships!*are!*interpersonal!*factors!*that!*relate!*to!*
mental!*illness.!*Individuals!*suffering!*from!*mental!*illness!*can!*feel!*overwhelmed!*with
!*daily!*life.!*Individuals!*suffering!*from!*mental!*illness!*may!*experience!*dissatisfaction!*with!*
relationships!*and!*self.
F) Behavior!*that!*may!*be!*viewed!*as!*acceptable!*in!*one!*culture!*is!*alwa
ys!*unacceptable!*in!*other!*cultures.
G) It!*is!*easy!*to!*determine!*if!*a!*person!*is!*mentally!*healthy!*or!*mentally!*ill.
H) In!*most!*cases,!*mental!*health!*is!*a!*state!*of!*emotional,!*psychological,!*and!*soci
al!*wellness!*evidenced!*by!*satisfying!*interpersonal!*relationships,!*effective!*beha
vior!*and!*coping,!*positive!*self-concept,!*and!*emotional!*stability.
I) Persons!*who!*engagein!*fantasies!*are!*mentally
!*ill.!*Ans:!*C
Feedback:
What!*one!*society!*may!*view!*as!*acceptable!*and!*appropriate!*behavior,!*another!*society!*may!
*see!*that!*as!*maladaptive,!*and!*inappropriate.!*Mental!*health!*and!*mental!*illness!*are!*diffic
ult!*to!*define!*precisely.!*In!*most!*cases,!*mental!*health!*is!*a!*state!*of!*emotional,!*psycholo
gical,!*and!*social!*wellness!*evidenced!*by!*satisfying!*interpersonal!*relationships,!*effect
ive!*behavior!*and!*coping,!*positive!*self-
concept,!*and!*emotional!*stability.!*Persons!*who!*engage!*in!*fantasiesmay!*be!*mentallyhealt
hy,!*but!*the!*inability!*to!*distinguishreality!*from!*fantasyis!*an!*individual!*factor!*that!*may!*c
ontribute!*to!*mental!*illness.
3. Aclient!*grieving!*the!*recent!*loss!*of!*her!*husband!*asks!*if!*she!*is!*becoming!*mentall
y!*ill!*because!*she!*is!*so!*sad.!*The!*nurse's!*best!*response!*would!*be,
A) ìYou!*may!*have!*a!*temporary!*mental!*illness!*because!*you!*are!*experiencing!*so!*muc
h!*pain.î
B) ìYouare!*not!*mentally!*ill.!*This!*is!*an!*expected!*reaction!*to!*the!*loss!*you!*hav
e!*experienced.î
C) ìWere!*you!*generally!*dissatisfied!*with!*your!*relationship!*before!*your!*husband'
s!*death?î
D) ìTrynot!*to!*worry!*about!*that!*right!*now.!*You!*never!*knowwhat!*the!*future!*brings.
î!*Ans:!*B
Feedback:
Mental!*illness!*includes!*general!*dissatisfaction!*with!*self,!*ineffective!*relationships,!*in
effective!*coping,!*and!*lack!*of!*personal!*growth.!*Additionally!*the!*behavior!*must!*not!*be!*c
ulturally!*expected.!*Acute!*grief!*reactions!*are!*expected!*and!*therefore!*not!*considered!*
mentalillness.!*False!*reassurance!*or!*overanalysis!*does!*not!*accurately!*address!*the!*client's!*c
oncerns.
4. The!*nurseconsults!*the!*DSM!*forwhich!*of!*the!*following!*purposes?
A) Todevise!*a!*plan!*of!*care!*for!*a!*newly!*admitted!*client
B) Topredict!*the!*client's!*prognosis!*of!*treatment!*outcomes
C) Todocument!*the!*appropriate!*diagnostic!*code!*in!*the!*client's!*medical!*record
D) To!*serve!*as!*a!*guide!*for!*client!*assessmen
t!*Ans:!*D
Feedback:
The!*DSM!*provides!*standard!*nomenclature,!*presents!*defining!*characteristics,!*and!*id
entifies!*underlying!*causes!*of!*mental!*disorders.!*It!*does!*not!*provide!*care!*plans!*or!*pr
ognostic!*outcomes!*of!*treatment.!*Diagnosis!*of!*mental!*illness!*is!*not!*within!*the!*gener
alist!*RN's!*scope!*of!*practice,!*so!*documenting!*the!*code!*in!*the!*medical!*record!*wouldbe!*inap
TEST!*BANK!*FOR!*PSYCHIATRIC!*MENTAL!*HEALTH!*NURSING!*7TH!*EDITION!*BY!*VIDEB
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5. Which!*would!*be!*a!*reason!*for!*a!*student!*nurse!*to!*use!*the!*DSM?
A) Identifying!*the!*medical!*diagnosis
B) Treatclients
C) Evaluate!*treatments
D) Understand!*the!*reasonforthe!*admissionand!*the!*nature!*of!*psychiatric
!*illnesses.!*Ans:!*D
Feedback:
Although!*student!*nurses!*do!*not!*use!*the!*DSM!*to!*diagnose!*clients,!*they!*will!*find!*it!*a!
*helpful!*resource!*to!*understand!*the!*reason!*for!*the!*admission!*and!*to!*begin!*building!*
knowledgeabout!*the!*natureof!*psychiatric!*illnesses.!*Identifying!*the!*medicaldiagnosis,!*tr
eating,!*and!*evaluating!*treatments!*are!*not!*a!*part!*of!*the!*nursing!*process.
6. The!*legislation!*enacted!*in!*1963!*waslargelyresponsibleforwhich!*of!*the!*followin
g!*shifts!*in!*care!*for!*the!*mentally!*ill?
A) Thewidespreaduseof!*community-based! * services
B) The!*advancement!*in!*pharmacotherapies
C) Increasedaccess!*to!*hospitali!*ation
D) Improved!*rights!*for!*clients!*in!*long-
term!*institutional!*care!*Ans:!*A
Feedback:
The!*CommunityMental!*Health!*Centers!*Construction!*Actof!*1963!*accomplished!*the!*relea
se!*of!*individuals!*from!*long-
term!*stays!*in!*state!*institutions,!*the!*decrease!*in!*admissions!*to!*hospitals,!*and!*the!*deve
lopment!*of!*community-based!*services!*as!*an!*alternative!*to!*hospital!*care.
7. Whichone!*of!*the!*following!*!*is!*!*a!*result!*of!*federal!*legislation?
A) Making!*it!*!*easier!*to!*!*commit!*people!*formental!*health!*treatment!*against!*their!*!*will.
B) Making!*it*!*more!*difficult!*to*!!*commitpeople!*formental!*health!*treatment!
*!*against!*their!*!*will.
C) State!*mental!*institutions!*!*being!*the!*primary!*source!*of!*care!*formentally!*ill!*persons.
D) Improved!*care!*for!*mentally!*!*il
l!*!*persons.!*Ans:!*!*B
Feedback:
Commitment!*laws!*!*changed!*!*in!*!*the!*!*early!*!*1970s,!*!*making!*!*it!*!*more!*difficult!*!*to!*!*
commit!*people!*!*for!*!*mental!*!*health!*!*treatment!*!*against!*!*their!*!*will.!*!*Deinstitutio
nali!*ation!*!*accomplished!*!*the!*!*release!*!*of!*!*individuals!*!*from!*!*long-
term!*!*stays!*!*in!*!*state!*!*institutions.!*Deinstitutionali!*ation!*also!*hadnegative!*effects!*!*
in!*that!*!*some*! *mentally!*ill!*persons!*are!*!*subjected!*to*!!*the*!!*revolving!*door*!!*effect,!*wh
ich!*may!*!*limit!*careformentally!*ill*!!*persons.
8. The!*goal!*of!*the!*1963!*Community!*Mental!*Health!*Centers*!!*Act!*was!*!*to
A) ensurepatients'!*rights!*!*for!*the!*!*mentally!*ill.
B) deinstitutionali!*e!*state!*hospitals.
C) provide!*funds!*to*!!*build*!!*hospitals!*with*!!*psychiatric!*!*units.
D) treat!*peoplewithmental!*illness!*in*!!*a!*human
e!*!*fashion.!*Ans:!*!*B
Feedback:
The!*!*1963!*!*Community!*!*Mental!*!*Health!*!*Centers!*!*Act!*!*intimated!*!*the!*!*movement!*!*towar
d!*!*treating!*!*those!*!*with!*!*mental!*!*illness!*!*in!*!*a!*!*less!*!*restrictive!*!*environment.!*!*This!*!*
legislation!*!*resulted!*!*in!*!*the!*shift!*of!*clients!*with!*!*mental!*illness!*from!*large!*state!*!*instit
utions*!!*to!*!*carebased!*in!*!*the!*!*community.!*!*Answer!*!*choices!*!*A,!*!*C,!*!*and!*!*D!*!*were!*!*not!*!*pu
rposes!*!*of!*!*the!*!*1963!*!*Community!*Mental!*!*Health!*!*CentersAct.
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9. The!*creation!*of!*!*asylumsduring!*the!*!*1800swasmeant!*!*to
A) improvetreatment!*of!*mental!*disorders.
B) providefood!*and!*shelter!*for!*!*the!*!*mentally!*ill.
C) punishpeoplewithmental!*illness!*who!*!*were!*believed!*!*to!*!*be!*possessed.
D) remove!*dangerouspeople!*with*!!*mentalillness!*from!*the!
*!*community.!*Ans:!*!*B
Feedback:
The!*!*asylum!*!*was!*!*meant!*!*to!*!*be!*!*a!*!*safehaven!*!*with!*!*food,!*!*shelter,!*!*and!*!*humane!*!*treatm
ent!*!*for! * !*the!*mentally!*!*ill.! * !*Asylums!*!*were!*!*not!*!*used!*!*to! * !*improve!*!*treatment!*!*of!*!*mental!*!*d
isorders!*!*or!*!*topunish!*!*mentally!*!*ill!*!*people!*!*who!*!*were!*!*believed!*!*to!*!*be!*!*possessed.!*!*T
he!*!*asylum!*!*was!*!*not!*!*created!*!*to!*remove!*the!*!*dangerously!*mentally!*ill!*from!*the!*co
mmunity.
10. The!*majorproblems!*with!*!*large!*state!*institutions!*!*are:!*Select!*!*all!*that!*apply.
A) attendantswere!*accused!*ofabusing!*the! * !*residents.
B) stigmaassociated!*with!*residence!*in!*!*an!*!*insane!*!*asylum.
C) clientswere!*geographically!*isolated!*from!*family!*and!*community.
D) increasingfinancial!*costs*!!*to*!!*individual!
*!*residents.!*Ans:!*!*A,!*!*C
Feedback:
Clients!*!*were!*!*often!*!*far!*!*removed!*!*from!*!*the!*!*local!*!*community,!*!*family,!*!*and!*!*frien
ds!*!*because!*!*state!*!*institutions!*!*were!*!*usually!*!*in!*!*rural!*!*or!*!*remote!*!*settings.!*!*Choic
es!*!*B!*!*and!*!*D!*!*were!*!*not!*major!*!*problems*!!*associated!*!*with!*large!*state!*!*instructions.
11. A!*significant!*change!*in!*the!*treatment!*of!*peoplewith!*mental!*illness!*occurred*!!*in!*
!*the!*1950s!*!*when
A) communitysupport!*services!*were! * !*established.
B) legislationdramaticallychanged!*civil!*commitment! * !*procedures.
C) the!*Patient's!*Bill!*of!*Rights!*was!*!*enacted.
D) psychotropic!*drugs*!!*became!*availablefor!
*!*use.!*Ans:!*!*D
Feedback:
The!*development!*of!*psychotropic!*drugs,!*or!*drugs!*used!*to*!!*treat!*mental!*illness,!*beganI
i!*!*!*!*n!*!*the!*!*1950s.!*!*Answer!*choices!*!*A,!*!*B,*!!*and!*!*C!*!*did!*!*not!*!*occur!*in!*!*the!*!*1950s.
12. Beforethe!*period!*!*of!*the!*enlightenment,!*!*treatment!*of!*the!*mentally!*ill!*included
A) creating!*large!*institutions!*to!*provide!*custodial! * !*care.
B) focusing!*on!*religious!*education!*to!*!*improve!*their!*!*souls.
C) placing!*the!*mentally!*ill!*ondisplay!*for!*the! * !*public's!*amusement.
D) providing!*a!*safe!*refuge!*or!*haven!*offerin
g!*!*protection.!*Ans:!*!*C
Feedback:
In!*!*1775,!*!*visitors!*!*at!*!*St.!*!*Mary's!*!*of!*!*Bethlehem!*!*were!*!*charged!*!*a!*!*fee!*!*for!*!*viewi
ng!*!*and!*!*ridiculing!*!*the!*mentally!*ill,!*!*who!*were!*seen!*as!*!*animals,!*!*less!*!*than!*!*hum
an.!*!*Custodial!*!*care!*was!*!*not!*!*often!*!*provided!*!*as!*!*persons!*!*who!*!*were!*!*considered!*!*
harmless!*!*were!*!*allowed!*!*to!*!*wander!*!*in!*!*the!*!*countryside!*!*or!*!*live!*!*in!*!*rural!*!*com
munities,!*!*and!*!*more!*!*dangerous!*!*lunatics!*were!*!*imprisoned,!*!*chained,!*!*and!*!*starved.!*!*
In!*!*early!*!*Christian!*!*times,!*!*primitive!*!*beliefs!*!*and!*!*superstitions!*!*were!*!*strong.!*!*The!*!*m
entally!*!*ill!*!*were!*!*viewed!*!*as!*!*evil!*!*or!*!*possessed.!*!*Priests!*!*performedexorcisms!*!*to*!!*ri
d!*evil!*spirits,!*and!*!*in!*!*the!*!*colonies,!*witch!*hunts*!!*were!*conducted!*!*with!*!*offenders!*!*bur
ned!*!*at!*!*the!*!*stake.!*!*It!*!*was!*!*not!*!*until!*!*the!*!*period!*!*of!*!*enlightenment!*!*when!*persons!*!*
who!*!*were!*!*mentally!*ill!*!*were!*!*offered!*!*asylum!*!*as!*!*a!*!*safe!*!*refuge!*or!*haven!*offering
!*!*protection!*!*at!*!*institutions.
13. The!*!*first!*training!*!*of!*!*nursesIto!*IworkIwithIpersons!*!*with!*menta
TEST!*BANK!*FOR!*PSYCHIATRIC!*MENTAL!*HEALTH!*NURSING!*7TH!*EDITION!*BY!*VIDEB
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ECK
TEST BANK FOR PSYCHIATRIC ME
!* !* !* !*
NTAL HEALTH NURSING 7TH EDITI
!* !* !* !*
ON BY VIDEBECK
!* !*
PsychiatricMentalHealthNursing7thEditionTestBank
*! *! *! *! *! *!
Chapter!*1
1. The!*nurse!*is!*assessing!*the!*factors!*contributing!*to!*the!*well-
being!*of!*a!*newly!*admitted!*client.!*Which!*of!*the!*following!*would!*the!*nurse!*identif
y!*as!*having!*a!*positive!*impact!*on!*the!*individual's!*mental!*health?
A) Not!*needingothers!*for!*companionship
B) The!*ability!*to!*effectivelymanage!*stress
C) Afamily!*history!*of!*mental!*illness
D) Striving!*fortotal!*self-
reliance!*Ans:!*B
Feedback:
Individual!*factors!*influencing!*mental!*health!*include!*biologic!*makeup,!*autonomy,!*in
dependence,!*self-
esteem,!*capacity!*for!*growth,!*vitality,!*ability!*to!*find!*meaning!*in!*life,!*emotionalresilience!*
or!*hardiness,!*sense!*of!*belonging,!*reality!*orientation,!*and!*coping!*or!*stress!*management!*
abilities.!*Interpersonal!*factors!*such!*as!*intimacy!*and!*a!*balance!*of!*separateness!*and!*co
nnectedness!*arebothneeded!*forgoodmental!*health,!*and!*therefore!*a!*healthy!*person!*woul
d!*need!*others!*for!*companionship.!*A!*family!*history!*of!*mental!*illness!*couldrelate!*to!*the!
*biologic!*makeup!*of!*an*!individual,!*whichmay!*have!*a!*negative!*impact!*on!*an!*individual's!*
mental!*health,!*as!*well!*as!*a!*negative!*impact!*on!*an!*individual's!*interpersonal!*and!*socialñc
ultural!*factors!*of!*health.!*Total!*self-
reliance!*is!*not!*possible,!*and!*a!*positive!*social/cultural!*factor!*is!*access!*to!*adequate!*res
ources.
2. Which!*of!*the!*following!*statements!*about!*mentalillness!*are!*true?!*Select!*all!*that!*apply.
A) Mental!*illness!*cancausesignificant!*distress,!*impaired!*functioning,!*or!*both.
B) Mentalillness!*is!*only!*due!*to!*social/cultural!*factors.
C) Social/cultural!*factors!*that!*relate!*to!*mental!*illness!*include!*excessive!*dependenc
y!*on!*or!*withdrawal!*from!*relationships.
D) Individualssuffering!*from!*mental!*illness!*are!*usually!*able!*to!*cope!*effectively!*with!
*daily!*life.
E) Individualssuffering!*from!*mental!*illness! * may!*experiencedissatisfaction!*with
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relationships!*and!*self.
Ans:!*A,!*D,!*E
Feedback:
Mental!*illness!*can!*cause!*significant!*distress,!*impaired!*functioning,!*or!*both.!*Mental!*
illness!*may!*be!*related!*to!*individual,!*interpersonal,!*or!*social/cultural!*factors.!*Excessive!*
dependency!*on!*or!*withdrawal!*from!*relationships!*are!*interpersonal!*factors!*that!*relate!*to!*
mental!*illness.!*Individuals!*suffering!*from!*mental!*illness!*can!*feel!*overwhelmed!*with
!*daily!*life.!*Individuals!*suffering!*from!*mental!*illness!*may!*experience!*dissatisfaction!*with!*
relationships!*and!*self.
F) Behavior!*that!*may!*be!*viewed!*as!*acceptable!*in!*one!*culture!*is!*alwa
ys!*unacceptable!*in!*other!*cultures.
G) It!*is!*easy!*to!*determine!*if!*a!*person!*is!*mentally!*healthy!*or!*mentally!*ill.
H) In!*most!*cases,!*mental!*health!*is!*a!*state!*of!*emotional,!*psychological,!*and!*soci
al!*wellness!*evidenced!*by!*satisfying!*interpersonal!*relationships,!*effective!*beha
vior!*and!*coping,!*positive!*self-concept,!*and!*emotional!*stability.
I) Persons!*who!*engagein!*fantasies!*are!*mentally
!*ill.!*Ans:!*C
Feedback:
What!*one!*society!*may!*view!*as!*acceptable!*and!*appropriate!*behavior,!*another!*society!*may!
*see!*that!*as!*maladaptive,!*and!*inappropriate.!*Mental!*health!*and!*mental!*illness!*are!*diffic
ult!*to!*define!*precisely.!*In!*most!*cases,!*mental!*health!*is!*a!*state!*of!*emotional,!*psycholo
gical,!*and!*social!*wellness!*evidenced!*by!*satisfying!*interpersonal!*relationships,!*effect
ive!*behavior!*and!*coping,!*positive!*self-
concept,!*and!*emotional!*stability.!*Persons!*who!*engage!*in!*fantasiesmay!*be!*mentallyhealt
hy,!*but!*the!*inability!*to!*distinguishreality!*from!*fantasyis!*an!*individual!*factor!*that!*may!*c
ontribute!*to!*mental!*illness.
3. Aclient!*grieving!*the!*recent!*loss!*of!*her!*husband!*asks!*if!*she!*is!*becoming!*mentall
y!*ill!*because!*she!*is!*so!*sad.!*The!*nurse's!*best!*response!*would!*be,
A) ìYou!*may!*have!*a!*temporary!*mental!*illness!*because!*you!*are!*experiencing!*so!*muc
h!*pain.î
B) ìYouare!*not!*mentally!*ill.!*This!*is!*an!*expected!*reaction!*to!*the!*loss!*you!*hav
e!*experienced.î
C) ìWere!*you!*generally!*dissatisfied!*with!*your!*relationship!*before!*your!*husband'
s!*death?î
D) ìTrynot!*to!*worry!*about!*that!*right!*now.!*You!*never!*knowwhat!*the!*future!*brings.
î!*Ans:!*B
Feedback:
Mental!*illness!*includes!*general!*dissatisfaction!*with!*self,!*ineffective!*relationships,!*in
effective!*coping,!*and!*lack!*of!*personal!*growth.!*Additionally!*the!*behavior!*must!*not!*be!*c
ulturally!*expected.!*Acute!*grief!*reactions!*are!*expected!*and!*therefore!*not!*considered!*
mentalillness.!*False!*reassurance!*or!*overanalysis!*does!*not!*accurately!*address!*the!*client's!*c
oncerns.
4. The!*nurseconsults!*the!*DSM!*forwhich!*of!*the!*following!*purposes?
A) Todevise!*a!*plan!*of!*care!*for!*a!*newly!*admitted!*client
B) Topredict!*the!*client's!*prognosis!*of!*treatment!*outcomes
C) Todocument!*the!*appropriate!*diagnostic!*code!*in!*the!*client's!*medical!*record
D) To!*serve!*as!*a!*guide!*for!*client!*assessmen
t!*Ans:!*D
Feedback:
The!*DSM!*provides!*standard!*nomenclature,!*presents!*defining!*characteristics,!*and!*id
entifies!*underlying!*causes!*of!*mental!*disorders.!*It!*does!*not!*provide!*care!*plans!*or!*pr
ognostic!*outcomes!*of!*treatment.!*Diagnosis!*of!*mental!*illness!*is!*not!*within!*the!*gener
alist!*RN's!*scope!*of!*practice,!*so!*documenting!*the!*code!*in!*the!*medical!*record!*wouldbe!*inap
TEST!*BANK!*FOR!*PSYCHIATRIC!*MENTAL!*HEALTH!*NURSING!*7TH!*EDITION!*BY!*VIDEB
ECK
,TEST!*BANK!*FOR!*PSYCHIATRIC!*MENTAL!*HEALTH!*NURSING!*7TH!*EDITION!*BY!*VIDEB
ECK propriate.
5. Which!*would!*be!*a!*reason!*for!*a!*student!*nurse!*to!*use!*the!*DSM?
A) Identifying!*the!*medical!*diagnosis
B) Treatclients
C) Evaluate!*treatments
D) Understand!*the!*reasonforthe!*admissionand!*the!*nature!*of!*psychiatric
!*illnesses.!*Ans:!*D
Feedback:
Although!*student!*nurses!*do!*not!*use!*the!*DSM!*to!*diagnose!*clients,!*they!*will!*find!*it!*a!
*helpful!*resource!*to!*understand!*the!*reason!*for!*the!*admission!*and!*to!*begin!*building!*
knowledgeabout!*the!*natureof!*psychiatric!*illnesses.!*Identifying!*the!*medicaldiagnosis,!*tr
eating,!*and!*evaluating!*treatments!*are!*not!*a!*part!*of!*the!*nursing!*process.
6. The!*legislation!*enacted!*in!*1963!*waslargelyresponsibleforwhich!*of!*the!*followin
g!*shifts!*in!*care!*for!*the!*mentally!*ill?
A) Thewidespreaduseof!*community-based! * services
B) The!*advancement!*in!*pharmacotherapies
C) Increasedaccess!*to!*hospitali!*ation
D) Improved!*rights!*for!*clients!*in!*long-
term!*institutional!*care!*Ans:!*A
Feedback:
The!*CommunityMental!*Health!*Centers!*Construction!*Actof!*1963!*accomplished!*the!*relea
se!*of!*individuals!*from!*long-
term!*stays!*in!*state!*institutions,!*the!*decrease!*in!*admissions!*to!*hospitals,!*and!*the!*deve
lopment!*of!*community-based!*services!*as!*an!*alternative!*to!*hospital!*care.
7. Whichone!*of!*the!*following!*!*is!*!*a!*result!*of!*federal!*legislation?
A) Making!*it!*!*easier!*to!*!*commit!*people!*formental!*health!*treatment!*against!*their!*!*will.
B) Making!*it*!*more!*difficult!*to*!!*commitpeople!*formental!*health!*treatment!
*!*against!*their!*!*will.
C) State!*mental!*institutions!*!*being!*the!*primary!*source!*of!*care!*formentally!*ill!*persons.
D) Improved!*care!*for!*mentally!*!*il
l!*!*persons.!*Ans:!*!*B
Feedback:
Commitment!*laws!*!*changed!*!*in!*!*the!*!*early!*!*1970s,!*!*making!*!*it!*!*more!*difficult!*!*to!*!*
commit!*people!*!*for!*!*mental!*!*health!*!*treatment!*!*against!*!*their!*!*will.!*!*Deinstitutio
nali!*ation!*!*accomplished!*!*the!*!*release!*!*of!*!*individuals!*!*from!*!*long-
term!*!*stays!*!*in!*!*state!*!*institutions.!*Deinstitutionali!*ation!*also!*hadnegative!*effects!*!*
in!*that!*!*some*! *mentally!*ill!*persons!*are!*!*subjected!*to*!!*the*!!*revolving!*door*!!*effect,!*wh
ich!*may!*!*limit!*careformentally!*ill*!!*persons.
8. The!*goal!*of!*the!*1963!*Community!*Mental!*Health!*Centers*!!*Act!*was!*!*to
A) ensurepatients'!*rights!*!*for!*the!*!*mentally!*ill.
B) deinstitutionali!*e!*state!*hospitals.
C) provide!*funds!*to*!!*build*!!*hospitals!*with*!!*psychiatric!*!*units.
D) treat!*peoplewithmental!*illness!*in*!!*a!*human
e!*!*fashion.!*Ans:!*!*B
Feedback:
The!*!*1963!*!*Community!*!*Mental!*!*Health!*!*Centers!*!*Act!*!*intimated!*!*the!*!*movement!*!*towar
d!*!*treating!*!*those!*!*with!*!*mental!*!*illness!*!*in!*!*a!*!*less!*!*restrictive!*!*environment.!*!*This!*!*
legislation!*!*resulted!*!*in!*!*the!*shift!*of!*clients!*with!*!*mental!*illness!*from!*large!*state!*!*instit
utions*!!*to!*!*carebased!*in!*!*the!*!*community.!*!*Answer!*!*choices!*!*A,!*!*C,!*!*and!*!*D!*!*were!*!*not!*!*pu
rposes!*!*of!*!*the!*!*1963!*!*Community!*Mental!*!*Health!*!*CentersAct.
TEST!*BANK!*FOR!*PSYCHIATRIC!*MENTAL!*HEALTH!*NURSING!*7TH!*EDITION!*BY!*VIDEB
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9. The!*creation!*of!*!*asylumsduring!*the!*!*1800swasmeant!*!*to
A) improvetreatment!*of!*mental!*disorders.
B) providefood!*and!*shelter!*for!*!*the!*!*mentally!*ill.
C) punishpeoplewithmental!*illness!*who!*!*were!*believed!*!*to!*!*be!*possessed.
D) remove!*dangerouspeople!*with*!!*mentalillness!*from!*the!
*!*community.!*Ans:!*!*B
Feedback:
The!*!*asylum!*!*was!*!*meant!*!*to!*!*be!*!*a!*!*safehaven!*!*with!*!*food,!*!*shelter,!*!*and!*!*humane!*!*treatm
ent!*!*for! * !*the!*mentally!*!*ill.! * !*Asylums!*!*were!*!*not!*!*used!*!*to! * !*improve!*!*treatment!*!*of!*!*mental!*!*d
isorders!*!*or!*!*topunish!*!*mentally!*!*ill!*!*people!*!*who!*!*were!*!*believed!*!*to!*!*be!*!*possessed.!*!*T
he!*!*asylum!*!*was!*!*not!*!*created!*!*to!*remove!*the!*!*dangerously!*mentally!*ill!*from!*the!*co
mmunity.
10. The!*majorproblems!*with!*!*large!*state!*institutions!*!*are:!*Select!*!*all!*that!*apply.
A) attendantswere!*accused!*ofabusing!*the! * !*residents.
B) stigmaassociated!*with!*residence!*in!*!*an!*!*insane!*!*asylum.
C) clientswere!*geographically!*isolated!*from!*family!*and!*community.
D) increasingfinancial!*costs*!!*to*!!*individual!
*!*residents.!*Ans:!*!*A,!*!*C
Feedback:
Clients!*!*were!*!*often!*!*far!*!*removed!*!*from!*!*the!*!*local!*!*community,!*!*family,!*!*and!*!*frien
ds!*!*because!*!*state!*!*institutions!*!*were!*!*usually!*!*in!*!*rural!*!*or!*!*remote!*!*settings.!*!*Choic
es!*!*B!*!*and!*!*D!*!*were!*!*not!*major!*!*problems*!!*associated!*!*with!*large!*state!*!*instructions.
11. A!*significant!*change!*in!*the!*treatment!*of!*peoplewith!*mental!*illness!*occurred*!!*in!*
!*the!*1950s!*!*when
A) communitysupport!*services!*were! * !*established.
B) legislationdramaticallychanged!*civil!*commitment! * !*procedures.
C) the!*Patient's!*Bill!*of!*Rights!*was!*!*enacted.
D) psychotropic!*drugs*!!*became!*availablefor!
*!*use.!*Ans:!*!*D
Feedback:
The!*development!*of!*psychotropic!*drugs,!*or!*drugs!*used!*to*!!*treat!*mental!*illness,!*beganI
i!*!*!*!*n!*!*the!*!*1950s.!*!*Answer!*choices!*!*A,!*!*B,*!!*and!*!*C!*!*did!*!*not!*!*occur!*in!*!*the!*!*1950s.
12. Beforethe!*period!*!*of!*the!*enlightenment,!*!*treatment!*of!*the!*mentally!*ill!*included
A) creating!*large!*institutions!*to!*provide!*custodial! * !*care.
B) focusing!*on!*religious!*education!*to!*!*improve!*their!*!*souls.
C) placing!*the!*mentally!*ill!*ondisplay!*for!*the! * !*public's!*amusement.
D) providing!*a!*safe!*refuge!*or!*haven!*offerin
g!*!*protection.!*Ans:!*!*C
Feedback:
In!*!*1775,!*!*visitors!*!*at!*!*St.!*!*Mary's!*!*of!*!*Bethlehem!*!*were!*!*charged!*!*a!*!*fee!*!*for!*!*viewi
ng!*!*and!*!*ridiculing!*!*the!*mentally!*ill,!*!*who!*were!*seen!*as!*!*animals,!*!*less!*!*than!*!*hum
an.!*!*Custodial!*!*care!*was!*!*not!*!*often!*!*provided!*!*as!*!*persons!*!*who!*!*were!*!*considered!*!*
harmless!*!*were!*!*allowed!*!*to!*!*wander!*!*in!*!*the!*!*countryside!*!*or!*!*live!*!*in!*!*rural!*!*com
munities,!*!*and!*!*more!*!*dangerous!*!*lunatics!*were!*!*imprisoned,!*!*chained,!*!*and!*!*starved.!*!*
In!*!*early!*!*Christian!*!*times,!*!*primitive!*!*beliefs!*!*and!*!*superstitions!*!*were!*!*strong.!*!*The!*!*m
entally!*!*ill!*!*were!*!*viewed!*!*as!*!*evil!*!*or!*!*possessed.!*!*Priests!*!*performedexorcisms!*!*to*!!*ri
d!*evil!*spirits,!*and!*!*in!*!*the!*!*colonies,!*witch!*hunts*!!*were!*conducted!*!*with!*!*offenders!*!*bur
ned!*!*at!*!*the!*!*stake.!*!*It!*!*was!*!*not!*!*until!*!*the!*!*period!*!*of!*!*enlightenment!*!*when!*persons!*!*
who!*!*were!*!*mentally!*ill!*!*were!*!*offered!*!*asylum!*!*as!*!*a!*!*safe!*!*refuge!*or!*haven!*offering
!*!*protection!*!*at!*!*institutions.
13. The!*!*first!*training!*!*of!*!*nursesIto!*IworkIwithIpersons!*!*with!*menta
TEST!*BANK!*FOR!*PSYCHIATRIC!*MENTAL!*HEALTH!*NURSING!*7TH!*EDITION!*BY!*VIDEB
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